Outrage here.
I've gone back to internal bearings on vintage bikes simply due to the Q factor using "modern" cranks. But the set-ups/bb width on modern bikes seem to compensate fine, I have no complaints with my newer Specialized bikes.
Our gym switched to Keiser spin bikes, with an enormous Q factor. I quit in protest, as did others. They invested many thousands in those bikes, and the mommies just loved them.